Organization Active NPI

Mask Chiropractic and Acupuncture Clinic

  • Chiropractor
  • Staunton, VA
National Provider Identifier
1003967233
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104002066 Issued in VA
Legal business name
MASK CHIROPRACTIC AND ACUPUNCTURE CLINIC
Practice address
639 N Coalter St
Staunton, VA 24401-3404
Phone
(540) 885-8877
Fax
(540) 887-8493
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Leslie Mask Hayes, D.C., DIPL. AC.NPI 1114001203
Title
Chiropractor
Phone
(540) 885-8877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0104002066 VA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0104555811 VA

Addresses

Primary practice location

639 N Coalter St
Staunton, VA 24401-3404

Mailing address

639 N Coalter St
Staunton, VA 24401-3404
Phone (540) 885-8877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050325000637 VA Part B Supplier - Clinic/Group Practice 9739135377 Receives reassigned benefits from 2 practitioners
Practice locations: Staunton, VA

National Provider Directory

National Provider Directory

Locations

639 N Coalter St
Staunton, VA 24401
Phone (540) 885-8877

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003967233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 N COALTER ST",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244013404",
            "telephone_number": "540-885-8877",
            "fax_number": "540-887-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 N COALTER ST",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244013404",
            "telephone_number": "540-885-8877",
            "fax_number": "540-887-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASK CHIROPRACTIC AND ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "MASK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "540-885-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., DIPL. AC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104002066",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.